Chapter 30: Sexual Disorders

Chapter 30: Sexual Disorders

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. Paraphilia is defined as:

a.	any homosexual act.
b.	inhibition of the sexual response cycle.
c.	discomfort with one’s biologic gender.
d.	an intense sexual urge with an abnormal focus.

 

 

ANS:  D

Paraphilias are conditions in which the sexual instinct is expressed in ways that are socially prohibited or unacceptable or are biologically undesirable. The distracters characterize other sexual behaviors.

 

DIF:    Cognitive level: Understanding        REF:   p. 369

TOP:   Nursing process: Assessment           MSC:  NCLEX: Psychosocial Integrity

 

2. Which characteristic fits the profile of an individual who is a pedophile?

a.	Homosexual
b.	High self-esteem
c.	Seeks access to children
d.	Self-confident and expressive

 

 

ANS:  C

It is known that pedophiles usually place themselves in jobs, activities, or relationships that provide easy access to children. They often become trusted by both parents and children. The other characteristics have no particular relationship to pedophilia.

 

DIF:    Cognitive level: Understanding        REF:   pp. 369-370

TOP:   Nursing process: Assessment           MSC:  NCLEX: Psychosocial Integrity

 

3. A patient’s medical record documents sexual masochism. This patient derives sexual pleasure:

a.	from inanimate objects.
b.	by inflicting pain on a partner.
c.	when sexually humiliated by a partner.
d.	from touching a nonconsenting person.

 

 

ANS:  C

Sexual masochism is sexual pleasure derived from being humiliated, beaten, or otherwise made to suffer. The distracters refer to fetishism, sexual sadism, and frotteurism.

 

DIF:    Cognitive level: Understanding        REF:   pp. 370-371

TOP:   Nursing process: Assessment           MSC:  NCLEX: Psychosocial Integrity

 

4. While volunteering at a homeless shelter, a nurse observes a known pedophile leaving the restroom with a small child. Select the nurse’s priority action.

a.	Report the observation to authorities by the child abuse hotline.
b.	Protect the child without involving herself/himself with the perpetrator.
c.	Notify staff of the homeless shelter to address the situation.
d.	Continue to observe the interaction and document findings.

 

 

ANS:  A

In every state, nurses are mandated reporters of child abuse. The nurse is obligated legally and morally to report the incident so that proper authorities can follow up. The distracters do not fulfill the nurse’s ethical or legal responsibilities.

 

DIF:    Cognitive level: Applying                REF:   p. 372

TOP:   Nursing process: Implementation     MSC:  NCLEX: Safe, Effective Care Environment